【摘要】 目的 分析脾切除术后膈下脓肿的原因，提出防范措施。方法 回顾分析18例脾切除术后膈下脓肿和文献报告的病例。结果 膈下脓肿原因中，胰腺损伤引起胰瘘6例，术后积血7例，引流不畅4例，术后未行引流1例，18例全部经手术或穿刺证实。结论 术中损伤，术后引流不畅是造成膈下脓肿主要原因，而早期诊断及B超引导下反复穿刺或手术引流是治愈关键。

    【关键词】 脾切除术；膈下脓肿；引流术

    Experience in diagnosis and treatment of sub-diaphragmatic abscess after splenectomy;a report of 18 cases

    SUN Yu-hai，GU Qin，HAN Jiang.Department of Surgery，Zhoupu Hospial of Shanghai Pudong，Shanghai 201318，China

    【Abstract】 Objective To analyse the caces of postoperative below diaphragmatic abscess of splenectomy put forward to be on guard measure.Methods The data of 18 patients in our hospital were retrospectively analyseel and reviewed the literature.Results The causes of below diaphragm abscess ......